Table 3

High-priority palliative care opioid safety research topics

No.High-priority research topicsCSPCP importance rating*
1Identify which outpatient palliative care clinic patients should have urine drug tests3
2Determine the frequency at which urine drug tests should be done in outpatient palliative care clinics3
3Evaluate the use of the Diagnostic Statistical Manual, Fifth Edition opioid use disorder criteria to identify patients with life-limiting illnesses who have opioid use disorders3.2
4Evaluate the use of the Diagnostic Statistical Manual, Fifth Edition opioid use disorder criteria to identify patients with life-limiting illnesses who are at high risk of opioid overdose3
5Evaluate the use of screening tools to identify patients with life-limiting illnesses who have opioid use disorders (eg, Opioid Risk Tool, Screener and Opioid Assessment for Patients with Pain)3.4
6Evaluate the use of screening tools to identify patients with life-limiting illnesses who are at high risk of opioid overdose (eg, Opioid Risk Tool, Screener and Opioid Assessment for Patients with Pain)3
7Determine how often should palliative care patients who are at high risk or have aberrant opioid medication-taking behaviours, opioid use disorder or overdose, be monitored3.5
8Determine which patients with life-limiting illnesses should receive pill counts3.3
  • *The Canadian Society of Palliative Care Physicians (CSPCP) reviewed the 59 topics that did not reach consensus through the Delphi process and used a 5-point Likert Scale to rate the importance of conducting research about each topic. The format of the 5-point Likert Scale was as follows: 0—not at all important, 1—slightly important, 2—moderately important, 3—very important, 4—extremely important.